FRACTURE OF THE LATERAL MALLEOLUS WITH TALAR TILT - PRIMARILY A CALCANEAL FRACTURE NOT AN ANKLE INJURY

被引：9

作者：

EASTWOOD, DM

MAXWELLARMSTRONG, CA

ATKINS, RM

机构：

[1] University Department of Orthopaedic Surgery, British Royal Infirmary, Bristol

来源：

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 1993年 / 24卷 / 02期

关键词：

D O I：

10.1016/0020-1383(93)90200-P

中图分类号：

R4 [临床医学];

学科分类号：

1002 [临床医学]; 100602 [中西医结合临床];

摘要：

We report four cases in which radiographic features of a fracture of the lateral malleolus and talar hilt of varying severity were associated with a displaced fracture of the calcaneum. In two cases, the initial diagnosis was of a primary ankle injury which led to inappropriate initial management. Gross fracture subluxation of the posterior subtalar joint had occurred in all four cases but could only be fully appreciated after CT examination of the hindfoot. Operative reduction and internal fixation of the calcaneal fracture led to spontaneous reduction of the talar displacement. The association of a swollen hindfoot, talar tilt and a flake fracture of the lateral malleolus must alert clinicians to this injury.

引用

页码：109 / 112

页数：4

共 5 条

[1]

Eastwood, Gregg, Atkins, Intraarticular fractures of the calcaneum: Part 1 — Pathological anatomy and classification, J. Bone Joint Surg. (Br), (1992)

[2]

Eastwood, Langkamer, Atkins, Intra-articular fractures of the calcaneum: Part 2 — A method for operative reduction and fixation, J. Bone Joint Surg. (Br), (1992)

[3]

Essex-Lopresti, The mechanism, reduction technique, and results in fractures of the OS calcis, British Journal of Surgery, 39, (1952)

[4]

Lowrie, Finlay, Brenkel, Et al., Computerized tomographic assessment of the subtalar joint in calcaneal fractures, J. Bone Joint Surg., 70 B, (1988)

[5]

Palmer, The mechanism and treatment of fractures of the calcaneus. Open reduction with the use of cancellous grafts, J. Bone Joint Surg., 30 A, (1948)

← 1 →